HERITAGE INSURANCE SERVICE INC 401 (K) PROFIT SHARING PLAN & TRUST
|
2020
|
610864935
|
2021-08-06
|
HERITAGE INSURANCE SERVICE INC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5029619837
|
Plan sponsor’s
address |
920 LILY CREEK RD STE 201, LOUISVILLE, KY, 402432815
|
Signature of
Role |
Plan administrator |
Date |
2021-08-06 |
Name of individual signing |
JONATHAN CUMMINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HERITAGE INSURANCE SERVICE INC 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
610864935
|
2021-04-13
|
HERITAGE INSURANCE SERVICE INC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5029619837
|
Plan sponsor’s
address |
920 LILY CREEK RD - SUITE 201, LOUISVILLE, KY, 40243
|
Signature of
Role |
Plan administrator |
Date |
2021-04-13 |
Name of individual signing |
JONATHAN CUMMINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HERITAGE INSURANCE SERVICE INC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
610864935
|
2020-07-13
|
HERITAGE INSURANCE SERVICE INC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5029619837
|
Plan sponsor’s
address |
920 LILY CREEK RD - SUITE 201, LOUISVILLE, KY, 40243
|
Signature of
Role |
Plan administrator |
Date |
2020-07-13 |
Name of individual signing |
EDWARD ROJAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HERITAGE INSURANCE SERVICE INC 401 K PROFIT SHARING PLAN TRUST
|
2018
|
610864935
|
2019-04-16
|
HERITAGE INSURANCE SERVICE INC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5029619837
|
Plan sponsor’s
address |
920 LILY CREEK RD - SUITE 201, LOUISVILLE, KY, 40243
|
Plan administrator’s name and address
Administrator’s EIN |
264477125 |
Plan administrator’s name |
401K GENERATION |
Plan administrator’s
address |
195 INTERNATIONAL PKWY, S #311, LAKE MARY, FL, 32746 |
Administrator’s telephone number |
8669985879 |
Signature of
Role |
Plan administrator |
Date |
2019-04-16 |
Name of individual signing |
EDWARD ROJAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|